Predictors of Dalziel et al for Severe Pediatric H1N1 Infection

 

Patient selection: pediatric patient with H1N1 influenza

 

Severe outcomes: admission to the ICU (need for inotropic support and/or mechanical ventilation), death

 

Risk factors for severe influenza:

(1) history of chronic lung disease

(2) history of developmental delay and/or cerebral palsy

(3) clinical chest retractions

(4) clinical dehydration

(5) clinical need for supplemental oxygen

(6) clinical tachycardia for age

 

A pediatric presenting with one or more of these findings is at increased risk for a severe outcome. A patient with one or both of the historical risk factors may be a candidate for prophylaxis.